Physiological AdaptationQuestion 1153 of 2368
A client who has been pushing for two and a half hours shows slow fetal descent. Which assessment is most important for the nurse to include?
- Breast engorgement
- Lochia color
- Bladder distention
- Bowel sounds
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Correct answer: Bladder distention
A distended bladder can impede fetal descent, so the nurse assesses for it during a prolonged second stage.
Source: Nursing Health Promotion (Open RN, Chippewa Valley Technical College, 2025), Labor & Delivery Care: MONITORING FOR COMPLICATIONS DURING THE SECOND STAGE OF LABOR. Licensed under CC BY 4.0.
Practice the topic "Physiological Adaptation"Questions last reviewed: 18 October 2026